Negative Transgender-Related Media Messages Are Associated with Adverse Mental Health Outcomes in a Multistate Study of Transgender Adults.

Publisher: Mary Ann Liebert, Inc. publishers Country of Publication: United States NLM ID: 101616707 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2325-8306 (Electronic) Linking ISSN: 23258292 NLM ISO Abbreviation: LGBT Health Subsets: MEDLINE

Original Publication: New Rochelle, NY : Mary Ann Liebert, Inc. publishers, [2014]-

Social Stigma*; Mass Media/*statistics & numerical data ; Mental Disorders/*epidemiology ; Transgender Persons/*psychology; Adolescent ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Transgender Persons/statistics & numerical data ; United States/epidemiology ; Young Adult

Purpose: The purpose of this study was to examine the extent to which transgender people have observed negative transgender-related messages in the media and the relationship between negative media message exposure and the mental health of transgender people. Methods: In 2019, 545 transgender adults completed an online survey assessing demographics, negative transgender-related media messages, violence, and mental health. Separate multivariable logistic regression models examined the association of frequency of negative media exposure and clinically significant symptoms of depression, anxiety, post-traumatic stress disorder (PTSD), and global psychological distress. Results: Mean age of the sample was 31.2 years (standard deviation [SD] = 11.2). Nearly half identified as nonbinary (42.2%), 82.0% were White, non-Hispanic, 56.9% had a college degree, and 67.0% were financially insecure. The majority reported experiencing childhood abuse (60.6%) and abuse in adulthood (58.0%). The mean frequency of exposure to negative transgender-related media was 6.41 (SD = 2.9) with 97.6% of the sample reporting exposure to negative media depictions of transgender people across a range of mediums. In separate multivariable models adjusted for age, gender identity, race, education, income, and childhood/adult abuse, more frequent exposure to negative depictions of transgender people in the media was significantly associated with clinically significant symptoms of depression (adjusted odds ratio [aOR] = 1.18; 95% confidence interval [CI] = 1.08-1.29; p  = 0.0003); anxiety (aOR = 1.26; 95% CI = 1.14-1.40; p  < 0.0001); PTSD (aOR = 1.25; 95% CI = 1.16-1.34; p  < 0.0001); and global psychological distress (aOR = 1.28; 95% CI = 1.15-1.42; p  < 0.0001). Conclusion: Exposure to negative media messages from multiple sources necessitates multilevel interventions to improve the mental health of transgender people and curb stigma at its source.

Obesity (Silver Spring). 2012 May;20(5):993-8. (PMID: 22240725)
Am J Public Health. 2013 May;103(5):943-51. (PMID: 23488522)
Am J Public Health. 1999 Sep;89(9):1328-33. (PMID: 10474548)
J Couns Psychol. 2017 Jan;64(1):41-51. (PMID: 28068130)
Proc Natl Acad Sci U S A. 2018 Apr 10;115(15):3816-3821. (PMID: 29581304)
J Urban Health. 2012 Jun;89(3):419-31. (PMID: 22223033)
Psychiatry Res. 2018 Jan;259:526-531. (PMID: 29156425)
J Acquir Immune Defic Syndr. 2019 Jun 1;81(2):184-192. (PMID: 30839380)
J Homosex. 2017;64(6):825-841. (PMID: 27633046)
J Couns Psychol. 2016 Oct;63(5):509-519. (PMID: 26866637)
J Interpers Violence. 2019 Jun;34(11):2376-2397. (PMID: 30735080)
LGBT Health. 2016 Dec;3(6):424-433. (PMID: 27636030)
Soc Sci Med. 2013 May;84:22-9. (PMID: 23517700)
J Public Health (Oxf). 2019 Mar 1;41(1):100-109. (PMID: 29474682)
Arch Sex Behav. 2014 Nov;43(8):1503-14. (PMID: 25030120)
Schizophr Bull. 2002;28(1):143-55. (PMID: 12047014)
J Adolesc Health. 2020 Apr;66(4):478-483. (PMID: 31964610)
Am Psychol. 2009 Apr;64(3):170-80. (PMID: 19348518)
J Health Soc Policy. 1995;7(2):61-8. (PMID: 10154511)
J Health Commun. 2008 Jul-Aug;13(5):434-49. (PMID: 18661386)
Soc Sci Med. 2015 Dec;147:222-31. (PMID: 26599625)
Ethn Dis. 1992 Summer;2(3):207-21. (PMID: 1467758)
Int J Epidemiol. 2004 Jun;33(3):499-506. (PMID: 15155709)
J Consult Clin Psychol. 2015 Oct;83(5):875-89. (PMID: 26147563)
Annu Rev Psychol. 2014;65:333-71. (PMID: 24405362)
Lancet. 2016 Jul 23;388(10042):327-330. (PMID: 27323922)
J Homosex. 2009;56(8):977-92. (PMID: 19882422)
JAMA Netw Open. 2020 Apr 1;3(4):e203423. (PMID: 32329769)
Arch Intern Med. 1993 Sep 27;153(18):2093-101. (PMID: 8379800)
J Anxiety Disord. 2008;22(2):337-43. (PMID: 17383853)
Psychiatr Serv. 2001 Jul;52(7):953-8. (PMID: 11433114)
Int J Law Psychiatry. 2001 Jul-Oct;24(4-5):469-86. (PMID: 11521421)
Milbank Q. 2015 Sep;93(3):484-515. (PMID: 26219197)
J Nerv Ment Dis. 2013 Mar;201(3):179-82. (PMID: 23407209)
Soc Psychiatry Psychiatr Epidemiol. 2007 Jan;42(1):14-23. (PMID: 17036263)
JAMA Pediatr. 2018 Oct 1;172(10):916-923. (PMID: 30105381)

P30 AI042853 United States AI NIAID NIH HHS; P20 GM125507 United States GM NIGMS NIH HHS

Keywords: media; mental health; stigma; transgender

Date Created: 20201110 Date Completed: 20210817 Latest Revision: 20210817

20240628

PMC7826438

10.1089/lgbt.2020.0279

33170060